Charlotte Ginyard, MAQP, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-21006 Issued in NC

Practice address

806 Bell Fork Rd
Jacksonville, NC 28540-6312

Phone

(910) 347-2205

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1124539473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 BRIDLEWOOD DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409101",
            "telephone_number": "910-526-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BELL FORK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406312",
            "telephone_number": "910-347-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINYARD",
        "first_name": "CHARLOTTE",
        "credential": "MAQP, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell L Gilliam, D.D.S.
• Lindsay Gillis
• Nancy Gilmore-Parks, MSW, LCSW
• Gina Collins Mancini, DMD
• Gina Mancini DMD PLLC
• John Mark Gionet, R.PH.
• GJL Reed, PLLC
• Julie Ellen Glener, MD
• Joseph Israel Gliksman, D.D.S.
• Maegan Glynn

• Addiction (Substance Use Disorder) Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.